Mandibular Molar Distalization Using Interradicular Microimplants and Indirect Anchorage: A Case Report

The nonsurgical management of skeletal Class III malocclusion is often challenging, particularly in adolescent or noncompliant patients. Still, temporary anchorage devices have expanded the limits of dentoalveolar compensation by providing reliable skeletal anchorage for distalization of posterior teeth. This case report describes an 18‑year‑old female with skeletal Class III malocclusion, a hypodivergent facial pattern, an anterior crossbite, and compensated mandibular incisors, who was treated with a nonextraction camouflage protocol using microimplant‑supported indirect anchorage to distalize the mandibular molars. The mandibular dentition was distalized with control of the vertical dimension, and clockwise rotation of the mandibular arch, together with mild incisor intrusion, contributed to anterior bite closure while maintaining the compensated inclination of the lower incisors. In this context, Class III correction with microimplant‑supported indirect anchorage for mandibular molar distalization proved to be an effective nonsurgical camouflage alternative to orthognathic surgery, ensuring adequate anterior anchorage control, favorable vertical facial proportions, and an improved occlusal relationship in a carefully selected borderline case.